Individual provider Active NPI

Mary Montemurro, RNC,NP

  • Adult Psychiatric/Mental Health Registered Nurse
  • New York, NY
National Provider Identifier
1083847461
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
310003-1 Issued in NY
Practice address
203 W 12TH St
616
New York, NY 10011-7762
Phone
(212) 604-8256
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 310003-1 NY Primary

Addresses

Primary practice location

203 W 12TH St
616
New York, NY 10011-7762

Mailing address

82 W 12TH St
New York, NY 10011-8667
Phone (212) 604-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310003-1NYMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1083847461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 W 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118667",
            "telephone_number": "212-604-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 12TH ST",
            "address_2": "616",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117762",
            "telephone_number": "212-604-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMURRO",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RNC,NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "310003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.